[肘关节创伤后骨关节炎：年轻患者的人工关节置换选择]

[Post-traumatic osteoarthritis of the elbow joint : Endoprosthetic options in young patients].

作者信息

Lenich A, Imhoff A B, Siebenlist S

机构信息

Orthopädie, Unfall-, Handchirurgie und Sportorthopädie, Helios Klinikum München West, Steinerweg 5, 81245, München, Deutschland.

Abteilung und Poliklinik für Sportorthopädie, Klinikum Rechts der Isar, Technische Universität München, München, Deutschland.

出版信息

Orthopade. 2016 Oct;45(10):844-52. doi: 10.1007/s00132-016-3328-8.

DOI:10.1007/s00132-016-3328-8

PMID:27647165

Abstract

BACKGROUND

In young patients, post-traumatic osteoarthritis of the elbow is a rare condition. Whereas clinical manifestations often differ from radiological findings, pain and stiffness are variably combined in symptomatic forms. In deciding whether to perform surgery, the patient's age, activity level, and symptoms, as well as the location and severity of the osteoarthritis have to be taken into account. Elbow joint instability has to be identified to stop the post-traumatic osteoarthritic progress. If joint preserving surgical methods fail, diverse options for partial or total joint replacement are available.

THERAPY

The treatment goal in young patients, therefore, is to reduce pain with a sufficient range of elbow motion.

摘要

背景

在年轻患者中，创伤后肘关节骨关节炎是一种罕见病症。虽然临床表现往往与放射学检查结果不同，但疼痛和僵硬在有症状的形式中以不同方式组合出现。在决定是否进行手术时，必须考虑患者的年龄、活动水平、症状以及骨关节炎的位置和严重程度。必须识别肘关节不稳定以阻止创伤后骨关节炎的进展。如果保留关节的手术方法失败，可以采用部分或全关节置换的多种选择。